PRATHAN SIRIVAT - Physical Therapist License in Illinois | # 070006385

PRATHAN SIRIVAT

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006385

License Status

ACTIVE

Business

N

First Name

PRATHAN

Last Name

SIRIVAT

Business Name

PRATHAN SIRIVAT

Original Issue Date

02/20/1991

Effective Date

07/28/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

07/28/2024